Article by Dr Manasa S, BAMS & Dr Raghuram Y.S. MD (Ay)
It’s at all times a difficult scenario to know if two completely different illness circumstances share the identical title.
On this context we will talk about two such circumstances which share the identical title. There are two circumstances defined in Ayurveda treatises that are named as ‘Vipadika’.
Context 1 – Vipadika has been talked about among the many eighty sorts of ‘Vata Nanatmaja Rogas’. Vata Nanatmaja Rogas are eighty forms of particular and particular illnesses brought on by vitiation / aggravation of ‘solely vata’. ‘Solely vata’ means there is no such thing as a affiliation of some other dosha in the reason for this situation apart from Vata.
Context 2 – The second Vipadika has been talked about within the context of ‘Kshudra Kushta’. Kushta is a time period which encompasses many pores and skin problems. Kushta is classed as Maha Kushta – main pores and skin illnesses and Kshudra Kushta – minor pores and skin illnesses. Kshudra Kushtas are eleven in quantity. Vipadika is one amongst them. Within the verse which describes the signs of Vipadika, Grasp Charaka has talked about ‘Vaipadika’ as a substitute of Vipadika. This in all probability is to distinguish between the 2 forms of Vipadika defined in two completely different contexts. However the identical writer has talked about ‘Vipadika’ in the identical chapter whereas explaining the remedy for a similar.
Now the query arises – ‘Are these two circumstances the identical?’
The reply is ‘no’.
Now allow us to see the variations between these two circumstances.
For understanding the variations I’ll use the phrase ‘vaipadika’ for the vipadika defined within the context of kshudra kushta in the complete size of this text.
Variations between Vipadika and Vaipadika
1. From the perspective of the context during which these illnesses are defined
Vipadika is a Vata Nanatmaja Roga whereas Vaipadika is a Kshudra Kushta.
2. Doshas concerned within the pathogenesis
Since Vipadika is a nanatmaja vata roga, no different doshas are concerned in its causation besides vata.
As a common rule since Vaipadika is a kushta, it’s invariably brought on by involvement of all of the three doshas. However being a kshudra kushta, Vaipadika is brought about on account of mixed aggravation and predominance of vata and kapha. Pitta, although concerned, could also be dormant on this situation.
3. Description of those circumstances
Vipadika has simply been talked about amongst the eighty Nanatmaja Rogas of Vata. We don’t discover the outline of the identical similar to the opposite nanatmaja rogas.
Then again we will discover a temporary description of the signs of Vaipadika within the context of Kshudra Kushtas.
4. Place of prevalence within the physique
Although particular area has not been talked about within the context of Vipadika as a Vata Nanatmaja Vyadhi, it may be inferred by the time period ‘pada’ included within the title of the illness Vaipadika. So, this situation strictly happens within the pada – foot / toes.
In Vipadika / Vaipadika Kushta it has been clearly specified that the illness afflicts each pani i.e. palms (palmar floor of the palms) and pada i.e. toes (plantar floor of the toes).
That is one gross distinction between these two circumstances.
5. Nidana – etiological components
Vipadika is brought on by the etiological components answerable for ‘vata imbalance’.
Vaipadika is brought on by etiological components answerable for causation of ‘kushta’ and in addition ‘vata-kapha imbalance’.
6. Samprapti – pathogenesis
Vipadika – Vitiated Vata will get localized within the foot of the particular person and causes cracking of pores and skin therein.
Vaipadika – Vitiated Vata together with Kapha will get localized within the palms and toes, impacts the pores and skin, blood, muscle tissue and liquid parts therein and causes cracking of pores and skin with ache.
7. Lakshana – signs
Signs of ‘Vipadika Vata Nanatmaja Vyadhi’ haven’t been specified. We will infer the signs after taking a look on the signs of Vaipadika Kushta, which is commonly addressed as Vipadika. Cracking or fissuring of pores and skin particularly within the toes is the principle symptom of this situation.
Vaipadika presents with –
- pani pada sphutana – cracks and fissures in palms and toes
- teevra vedana – extreme ache within the areas of fissures
8. Vedana – ache
It’s clear that in each Vipadika and Vaipadika Kushta there happens cracks and fissures within the pores and skin of the toes. In Vaipadika Kushta it additionally happens within the palms.
Teevra Vedana i.e. extreme ache has not been talked about amongst signs of Vipadika (Vataroga). In actual fact no signs have been talked about for vipadika. The title of the illness itself is the principle symptom of vipadika. Since it’s a vata roga, gentle to average ache could also be related to vipadika in later phases of the illness because the illness progresses and worsens. However vaipadika is at all times related to teevra vedana – extreme ache, since it’s specified within the context of the illness description.
9. Upashaya
Vipadika will reply to Vata line of remedy however Vaipadika Kushta may not. It should undoubtedly reply to Kushta line of remedy.
10. Chikitsa – remedy
Vipadika is handled on the traces of ‘vata roga chikitsa’. Vaipadika Kushta is handled on the traces of ‘kushta chikitsa’. In much less involvement of kapha, vata line of remedy may go out in vaipadika kushta as nicely.
Simply earlier than ending
Summing up – We have to differentiate the 2 completely different Vipadikas talked about in two completely different contexts from the perspective of scientific prognosis and from the attitude of proper remedy selections.
Vipadika is a vata vyadhi of nanatmaja kind when it presents with purely vata predominant signs, brought on by solely vata vitiation, brought on by publicity to vata aggravating components with cracks and fissures manifesting solely within the pada i.e. toes related to gentle to average ache and would reply to vata vyadhi chikitsa.
Vaipadika is a kshudra kushta when it presents with vata and kapha signs, brought on by twin vitiation of each these doshas, brought on by publicity to etiological components of kushta or vata-kapha aggravating components, with cracks and fissures manifesting in each pani – palms and pada – toes related to extreme ache and would usually reply to kushta chikitsa.
This understanding would assist the doctor to attract a super line of remedy in both situation.